-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, M/Du/3GokfE/S/P39EcOooLN+24xigc6ZYiM4dLaRa9S3FR5eESPyNxDVw3rZnp5 zQ6XmTpocb+nX86hg0xesQ== 0000075252-10-000082.txt : 20100726 0000075252-10-000082.hdr.sgml : 20100726 20100726075950 ACCESSION NUMBER: 0000075252-10-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100722 FILED AS OF DATE: 20100726 DATE AS OF CHANGE: 20100726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Broaddus J Alfred Jr CENTRAL INDEX KEY: 0001298933 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09810 FILM NUMBER: 10968430 MAIL ADDRESS: STREET 1: 4800 COX ROAD CITY: GLEN ALLEN STATE: VA ZIP: 23060 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OWENS & MINOR INC/VA/ CENTRAL INDEX KEY: 0000075252 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 541701843 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 BUSINESS PHONE: 8047237000 MAIL ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 FORMER COMPANY: FORMER CONFORMED NAME: O&M HOLDING INC DATE OF NAME CHANGE: 19940504 FORMER COMPANY: FORMER CONFORMED NAME: OWENS & MINOR INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: OWENS MINOR & BODEKER INC DATE OF NAME CHANGE: 19811124 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2010-07-22 0000075252 OWENS & MINOR INC/VA/ OMI 0001298933 Broaddus J Alfred Jr 9120 LOCKWOOD BOULEVARD MECHANICSVILLE VA 23116 1 0 0 0 Phantom Stock 2010-07-22 4 A 0 195 27.18 A Common Stock 195 19784 D The shares of phantom stock are convertible on a 1-for-1 basis and become payable, in cash or common stock, at the election of the reporting person, upon the occurrence of one of the following (as elected in advance by the reporting person): (a) death, (b) disability, (c) termination of service as director, (d) specified future delivery date, or (e) the earliest to occur of (a), (b), (c) or (d). J. Alfred Broaddus, Jr., by Rosemarie France POA 2010-07-26 -----END PRIVACY-ENHANCED MESSAGE-----